查骨质疏松症以预防骨折:美国预防服务工作组建议声明
, Susan J Curry1, Alex H Krist2,3
1University of Iowa, Iowa City.
JAMA
|June 28, 2018
概括
对于65岁及以上的女性,以及更年轻的更年期妇女,建议使用骨质疏松症检查. 没有足够的证据对男性进行查以预防骨折.
科学领域:
- 老年学
- 预防医学
- 骨健康
背景情况:
- 骨质疏松症影响了50岁以上的数百万人,导致骨折,残疾和死亡.
- 骨质疏松性骨折,特别是部骨折, 显著降低了生活质量和独立性.
- 美国人口老龄化预示着可预防的骨质疏松性骨折的增加.
研究的目的:
- 提供关于骨质疏松症查的最新建议.
- 审查骨质疏松骨折的查,风险评估和治疗效果的证据.
主要方法:
- 对骨质疏松性骨折的查和治疗的证据进行系统审查.
- 专注于绝经后的女性和老年男性,没有先前的骨折或骨质疏松的次要原因.
- 评估骨测试和临床风险评估工具的准确性.
主要成果:
- 骨测试可以准确地检测骨质疏松症,并预测女性和男性的骨折.
- 临床风险评估工具适度地确定骨质疏松症的风险.
- 药物治疗有效地减少绝经后妇女的骨折,但对男性的证据不足.
结论:
- 建议在65岁以上的妇女进行骨测量检查.
- 经过风险评估发现的65岁以下的绝经后妇女应进行查.
- 没有足够的证据推男性进行查以预防骨质疏松性骨折.
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